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A new generation of fully automated subjective autorefractors is entering the market. These machines – handheld, table-mounted or smartphone-based – have wide-ranging implications for the future role of the optometrist.

What will be the impact on your scope of practice, skill set, regulation and education? Will practices look very different, with ‘self-checkouts’? Will patients of the future get their refractive needs via technology in the home or in a shopping centre? And what effects could patients’ direct interaction with autorefraction, eye testing on phones for example, have on public health?